NPIMap

Organization Active NPI

Shailendra Kumar M.D.

  • Specialist
  • Riverdale, MD
National Provider Identifier
1487675492
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0018198 Issued in MD
Legal business name
SHAILENDRA KUMAR M.D.
Practice address
6510 Kenilworth Ave
2200
Riverdale, MD 20737-1339
Phone
(301) 699-9513
Fax
(301) 864-8565
NPI assigned
Jul 22, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shailendra Kumar, M.D.NPI 1376571513
Title
Chairman
Phone
(301) 699-9513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0018198 MD Primary

Addresses

Primary practice location

6510 Kenilworth Ave
2200
Riverdale, MD 20737-1339

Mailing address

6510 Kenilworth Ave
2200
Riverdale, MD 20737-1339
Phone (301) 699-9513

Other identifiers 5

IdentifierTypeStateIssuer
061985OtherMDUSMLE / ECFMG
D0063012OtherMDLIC NUMBER
M05021OtherMDSTATE CDS NUMBER
MD6694OtherDCLICENCE NUMBER
D0018198OtherMDLICENCE NUMBER

National Provider Directory

National Provider Directory

Locations

6510 Kenilworth Ave
Ste 2200
Riverdale, MD 20737
Phone (240) 770-8750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1487675492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE",
            "address_2": "2200",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371339",
            "telephone_number": "301-699-9513",
            "fax_number": "301-864-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE",
            "address_2": "2200",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371339",
            "telephone_number": "301-699-9513",
            "fax_number": "301-864-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAILENDRA KUMAR M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SHAILENDRA",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "301-699-9513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0018198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USMLE /  ECFMG",
            "identifier": "061985",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC NUMBER",
            "identifier": "D0063012",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CDS NUMBER",
            "identifier": "M05021",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "MD6694",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "D0018198",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.